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目的研究青年乳腺癌的临床中出现的病理特征分析。方法选取湖南省株洲市中心医院自2012年5月～2013年5月的60例青年乳腺癌临床患者进行分析,对治疗过程中的诊断资料以及治疗相关措施指标资料等进行分析,主要对病理类型、组织学分级以及免疫组织化学等数据进行研究。结果 60例乳腺癌患者中浸润性导管癌有48例,浸润性小叶癌有8例,原位癌有4例,分别占80.0%、13.3%、6.7%;组织学分级I级为10例,II级为24例,III级为26例,分别占16.7%、40.0%、43.3%;免疫的组织化学ER(+)有28例,PR(+)有26例,c-erbB-2(+)有41例,淋巴结转移有38例,分别占46.7%、43.3%、68.3%、63.3%。结论青年乳腺癌在临床的诊断上其误诊很高,而且通过彩色多普勒超声、钼靶的检查其准确率也很低,青年乳腺癌经过检查其浸润性癌最多,免疫性组织化呈现阳性率很高,所以此类疾病要及早的诊断治疗。
Objective To study the pathological features of young breast cancer. Methods The clinical data of 60 young patients with breast cancer from May 2012 to May 2013 in Central Hospital of Zhuzhou City, Hunan Province were selected for analysis. The diagnostic data of the treatment and the related indicators of the treatment were analyzed. The main pathological types , Histological grading and immunohistochemistry data. Results There were 48 invasive ductal carcinomas in 60 cases of breast cancer, 8 cases of invasive lobular carcinoma and 4 cases of carcinoma in situ, accounting for 80.0%, 13.3% and 6.7% respectively. The histological grade I was 10 cases, There were 24 cases of grade II and 26 cases of grade III, accounting for 16.7%, 40.0% and 43.3% respectively. There were 28 cases of immunohistochemical ER (+), 26 cases of PR (+), 26 cases of c-erbB- ) Had 41 cases, and 38 cases had lymph node metastasis, accounting for 46.7%, 43.3%, 68.3% and 63.3% respectively. Conclusion The clinical diagnosis of young breast cancer is very misdiagnosed, and its accuracy is very low through color Doppler ultrasound and mammography examination. The young breast cancer has the highest number of infiltrating carcinomas and the positive immunity immunohistochemistry The rate is high, so early diagnosis and treatment of such diseases.